- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,568.10 / $49,464.80 / $81,458.80
| Facility | | $25,568.10 | $49,464.80 | $81,458.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,439.87 / $39,947.37 / $61,495.00
| Facility | | $25,439.87 | $39,947.37 | $61,495.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,119.37 / $54,125.38
| Facility | | $100.00 | $25,119.37 | $54,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,649.49 / $48,555.60 / $67,743.53
| Facility | | $26,649.49 | $48,555.60 | $67,743.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,018.00 / $49,396.00 / $57,970.40
| Facility | | $34,018.00 | $49,396.00 | $57,970.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,931.21 / $36,270.26 / $70,515.30
| Facility | | $21,931.21 | $36,270.26 | $70,515.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,568.00 / $35,568.00 / $35,568.00
| Facility | | $35,568.00 | $35,568.00 | $35,568.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $28,426.00 / $60,683.97
| Facility | | $5,760.00 | $28,426.00 | $60,683.97 |